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Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011)

BACKGROUND: People with COPD suffering from coronary artery disease are frequently treated with revascularization procedures. We aim to compare trends in the use and outcomes of these procedures in COPD and non-COPD patients in Spain between 2001 and 2011. METHODS: We identified all patients who had...

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Autores principales: de Miguel-Díez, Javier, Jiménez-García, Rodrigo, Hernández-Barrera, Valentín, Carrasco-Garrido, Pilar, Bueno, Héctor, Puente-Maestu, Luis, Jimenez-Trujillo, Isabel, Alvaro-Meca, Alejandro, Esteban-Hernandez, Jesús, de Andrés, Ana López
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4622492/
https://www.ncbi.nlm.nih.gov/pubmed/26543361
http://dx.doi.org/10.2147/COPD.S92614
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author de Miguel-Díez, Javier
Jiménez-García, Rodrigo
Hernández-Barrera, Valentín
Carrasco-Garrido, Pilar
Bueno, Héctor
Puente-Maestu, Luis
Jimenez-Trujillo, Isabel
Alvaro-Meca, Alejandro
Esteban-Hernandez, Jesús
de Andrés, Ana López
author_facet de Miguel-Díez, Javier
Jiménez-García, Rodrigo
Hernández-Barrera, Valentín
Carrasco-Garrido, Pilar
Bueno, Héctor
Puente-Maestu, Luis
Jimenez-Trujillo, Isabel
Alvaro-Meca, Alejandro
Esteban-Hernandez, Jesús
de Andrés, Ana López
author_sort de Miguel-Díez, Javier
collection PubMed
description BACKGROUND: People with COPD suffering from coronary artery disease are frequently treated with revascularization procedures. We aim to compare trends in the use and outcomes of these procedures in COPD and non-COPD patients in Spain between 2001 and 2011. METHODS: We identified all patients who had undergone percutaneous coronary interventions (PCIs) and coronary artery bypass graft (CABG) surgeries, using national hospital discharge data. Discharges were grouped into: COPD and no COPD. RESULTS: From 2001 to 2011, 428,516 PCIs and 79,619 CABGs were performed. The sex and age-adjusted use of PCI increased by 21.27% per year from 2001 to 2004 and by 5.47% per year from 2004 to 2011 in patients with COPD. In-hospital mortality (IHM) among patients with COPD who underwent a PCI increased significantly from 2001 to 2011 (odds ratio 1.11; 95% confidence interval 1.03–1.20). Among patients with COPD who underwent a CABG, the sex and age-adjusted CABG incidence rate increased by 9.77% per year from 2001 to 2003, and then decreased by 3.15% through 2011. The probability of dying during hospitalization in patients who underwent a CABG did not change significantly in patients with and without COPD (odds ratio, 1.06; 95% confidence interval 0.96–1.17). CONCLUSION: The annual percent change in PCI procedures increased in COPD and non-COPD patients. We found a decrease in the use of CABG procedures in both groups. IHM was higher in patients with COPD who underwent a PCI than in those without COPD. However, COPD did not increase the probability of dying during hospitalization in patients who underwent a CABG.
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spelling pubmed-46224922015-11-05 Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011) de Miguel-Díez, Javier Jiménez-García, Rodrigo Hernández-Barrera, Valentín Carrasco-Garrido, Pilar Bueno, Héctor Puente-Maestu, Luis Jimenez-Trujillo, Isabel Alvaro-Meca, Alejandro Esteban-Hernandez, Jesús de Andrés, Ana López Int J Chron Obstruct Pulmon Dis Original Research BACKGROUND: People with COPD suffering from coronary artery disease are frequently treated with revascularization procedures. We aim to compare trends in the use and outcomes of these procedures in COPD and non-COPD patients in Spain between 2001 and 2011. METHODS: We identified all patients who had undergone percutaneous coronary interventions (PCIs) and coronary artery bypass graft (CABG) surgeries, using national hospital discharge data. Discharges were grouped into: COPD and no COPD. RESULTS: From 2001 to 2011, 428,516 PCIs and 79,619 CABGs were performed. The sex and age-adjusted use of PCI increased by 21.27% per year from 2001 to 2004 and by 5.47% per year from 2004 to 2011 in patients with COPD. In-hospital mortality (IHM) among patients with COPD who underwent a PCI increased significantly from 2001 to 2011 (odds ratio 1.11; 95% confidence interval 1.03–1.20). Among patients with COPD who underwent a CABG, the sex and age-adjusted CABG incidence rate increased by 9.77% per year from 2001 to 2003, and then decreased by 3.15% through 2011. The probability of dying during hospitalization in patients who underwent a CABG did not change significantly in patients with and without COPD (odds ratio, 1.06; 95% confidence interval 0.96–1.17). CONCLUSION: The annual percent change in PCI procedures increased in COPD and non-COPD patients. We found a decrease in the use of CABG procedures in both groups. IHM was higher in patients with COPD who underwent a PCI than in those without COPD. However, COPD did not increase the probability of dying during hospitalization in patients who underwent a CABG. Dove Medical Press 2015-10-22 /pmc/articles/PMC4622492/ /pubmed/26543361 http://dx.doi.org/10.2147/COPD.S92614 Text en © 2015 de Miguel-Díez et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
de Miguel-Díez, Javier
Jiménez-García, Rodrigo
Hernández-Barrera, Valentín
Carrasco-Garrido, Pilar
Bueno, Héctor
Puente-Maestu, Luis
Jimenez-Trujillo, Isabel
Alvaro-Meca, Alejandro
Esteban-Hernandez, Jesús
de Andrés, Ana López
Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011)
title Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011)
title_full Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011)
title_fullStr Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011)
title_full_unstemmed Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011)
title_short Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001–2011)
title_sort time trends in coronary revascularization procedures among people with copd: analysis of the spanish national hospital discharge data (2001–2011)
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4622492/
https://www.ncbi.nlm.nih.gov/pubmed/26543361
http://dx.doi.org/10.2147/COPD.S92614
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